Impose different or tiered authorization standards and criteria for participating providers of the same licensed profession in the same network;

Require prior authorization for coverage for the evaluation and management in the initial visit; or

Require a provider to discount billed charges for physical rehabilitation services or products not covered under a health coverage plan unless the carrier or intermediary has disclosed to the provider and the carrier's policyholders in writing that providers are required to give the discount.

The bill prohibits a carrier from providing incentives to an intermediary who has a contract for its coverage authorizations and medical necessity determinations for services provided to a policyholder.

The bill makes a violation of these terms an unfair or deceptive trade practice in the business of insurance.

(Note: This summary applies to this bill as introduced and does not reflect any amendments that were subsequently adopted.)